| NPI | 1689914020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA JUAREZ Owner 661-619-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 1300127910) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-03-21 |